Flink Ellen, Chevalier C. Lynn, Ruperto Angelo, Dameron Peg, Heigel Frederick J., Leslie Ruth, Mannion Janet, Panzer Robert J.
New York State Department of Health (EF, CLC, AR, PD, FJH, RL, JM). University of Rochester Medical Center (RJP)
New York State has had a mandatory incident reporting system in place since 1985. The current system, the New York Patient Occurrence Reporting and Tracking System (NYPORTS), was implemented in 1998 pursuant to New York State Public Health Law Section 2805-l, Incident Reporting. NYPORTS is a secure Web-based system that simplifies reporting, coordinates with other reporting systems, and allows hospitals to obtain feedback on their own reporting patterns. The authors review the evolution and implementation of NYPORTS and its predecessors, the Hospital Incident Reporting System and the Patient Event Tracking System. Discussion and data comparisons are made between the Joint Commission on Accreditation of Healthcare Organizations' voluntary sentinel event reporting system and NYPORTS. Critical elements for success of a mandatory incident reporting system include collaborative system design; basing the system on statute, with clear definitions and objective reporting criteria; providing meaningful data that can be analyzed and disseminated for improving patient safety; and adequate resources to maintain the system. Innovative program features may be of interest to other States implementing reporting systems.
自1985年以来，纽约州一直实行强制事件报告系统。当前的系统，即纽约患者事件报告与跟踪系统（NYPORTS），于1998年根据纽约州公共卫生法第2805 - l节“事件报告”实施。NYPORTS是一个基于网络的安全系统，它简化了报告流程，与其他报告系统进行协调，并允许医院获取关于自身报告模式的反馈。作者回顾了NYPORTS及其前身医院事件报告系统和患者事件跟踪系统的发展与实施情况。对医疗组织认证联合委员会的自愿性哨兵事件报告系统和NYPORTS进行了讨论和数据比较。强制事件报告系统成功的关键要素包括协作式系统设计；以法规为基础构建系统，有明确的定义和客观的报告标准；提供可分析和传播以改善患者安全的有意义数据；以及维持该系统的充足资源。实施报告系统的其他州可能会对创新的项目特点感兴趣。
